Pay Rate Change Form
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Pay rate change form. Section 5 reason for change. Promotion transfer section 2 job information. Salary change payment authorization form. Pay rateposition change request form.
Leave of absence section 5 reason for change. If applicable change type. If applicable new salary. Section 7 authorization.
Remember that no raise will be communicated to the employee until all necessary approvals have been received. Section 4 salary change. Wage salary increase section 3 salary change. Changes must be effective the 1 st day of a pay period old salary.
This individual was hired at the following hourly pay rate. Payroll change form is to be filled by the employees when there is any change in pay rate benefits coverage or tax information. Wage change please indicate the appropriate changes for the referenced employee. Pay change full time part time employee name.
Employee pay rate and title history change a form on which a human resources department or employer can keep track of an employees pay rate and job title history over time. Employee rate change form action payroll service inc 580 watertown avenue po. This individual should receive the following pay increase. Section 5 reason for change.
Months per year if less than 12 months also. 010hour pay raise 015hour pay raise 020hour pay raise 025hour pay raise 050hour pay raise. Box 2307 waterbury ct 06722 2307 203 597 8321 fax 1 866 258 4164. There are various forms which can be used by the employees and the organization to record the changes in payroll marital status a new addition to the.
Form revised 080615. Accordingly given the pending enactment of this chapter amendment the department will not require annual statements in 2015. According to the signing statement legislative leaders and the governor have agreed to a chapter amendment to make this change effective immediately. These changes of the employee are saved in the personnel file.
Notice of pay rate. 1 employee name salary hourly old wage new wage authorized signature date. Get all of our printable customizable business forms for 47 as an instant download.